Connelly, Janet L

Connelly, Janet L is an individual health care provider with primary practice located at 4601 Corbett Dr. , Fort Collins CO 80528-4000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Connelly, Janet L can be contacted via phone (970) 207-4800.

Contact Information

Primary practice address
4601 Corbett Dr. Fort Collins CO 80528-4000
Phone: (970) 207-4800
Fax: (970) 207-4885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN.0126662 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0990701-NP Colorado

Profile Details

NPI number 1356688618
LBN Legal business name Connelly, Janet L
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2013
Last updated Jan 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356688618 NPPES
Colorado Other P01244774 RR MEDICARE
Colorado MEDICAID W25216 RR MEDICARE
Colorado MEDICAID 80155031 RR MEDICARE

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